ICD-11 Criteria for Body Dysmorphic Disorder(6B21)
Body Dysmorphic Disorder is
characterised by persistent preoccupation with one or more perceived defects or
flaws in appearance that are either unnoticeable or only slightly noticeable to
others. Individuals experience excessive self-consciousness, often with ideas
of reference (i.e., the conviction that people are taking notice, judging, or
talking about the perceived defect or flaw). In response to their
preoccupation, individuals engage in repetitive and excessive behaviours that
include repeated examination of the appearance or severity of the perceived
defect or flaw, excessive attempts to camouflage or alter the perceived defect,
or marked avoidance of social situations or triggers that increase distress
about the perceived defect or flaw. The symptoms are sufficiently severe to
result in significant distress or significant impairment in personal, family,
social, educational, occupational or other important areas of functioning.
Exclusions:
- Anorexia Nervosa (6B80)
- Bodily distress disorder (6C20)
- Concern about body appearance (BlockL2‑QD3)
6B21.0 Body dysmorphic disorder with fair to good insight
All definitional requirements of body dysmorphic disorder are met. Much of the time, the individual is able to entertain the possibility that his or her disorder-specific beliefs may not be true and is willing to accept an alternative explanation for his or her experience. At circumscribed times (e.g., when highly anxious), the individual may demonstrate no insight.
6B21.1 Body dysmorphic disorder with poor to absent insight
All definitional requirements of body dysmorphic disorder are met. Most or all of the time, the individual is convinced that the disorder-specific beliefs are true and cannot accept an alternative explanation for their experience. The lack of insight exhibited by the individual does not vary markedly as a function of anxiety level.
6B21.Z Body dysmorphic disorder, unspecified
REFERENCE:
International Classification of Diseases Eleventh Revision (ICD-11). Geneva: World Health Organization; 2022. License: CC BY-ND 3.0 IGO.
https://creativecommons.org/licenses/by-nc-nd/3.0/igo/
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